Erythema elevatum diutinum in systemic lupus erythematosus

Erythema elevatum diutinum (EED) is a rare chronic form of leukocytoclastic vasculitis with unknown etiology. EED has been described in association with hematological malignancies, infections and a number of rheumatological diseases. We report a patient with systemic lupus erythematosus (SLE) who pr...

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Bibliographic Details
Published in:Rheumatology international 2011-02, Vol.31 (2), p.259-262
Main Authors: Chan, Yung, Mok, Chi Chiu, Tang, William Yuk Ming
Format: Article
Language:English
Subjects:
Adult
Biopsy
Dapsone - therapeutic use
Drug Therapy, Combination
Female
Humans
Hydroxychloroquine - therapeutic use
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - drug therapy
Lupus Erythematosus, Systemic - pathology
Medicine
Medicine & Public Health
Prednisone - therapeutic use
Rheumatology
Short Communication
Treatment Outcome
Vasculitis, Leukocytoclastic, Cutaneous - diagnosis
Vasculitis, Leukocytoclastic, Cutaneous - drug therapy
Vasculitis, Leukocytoclastic, Cutaneous - pathology
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Summary:Erythema elevatum diutinum (EED) is a rare chronic form of leukocytoclastic vasculitis with unknown etiology. EED has been described in association with hematological malignancies, infections and a number of rheumatological diseases. We report a patient with systemic lupus erythematosus (SLE) who presented with intermittent attacks of tender nodules and plaques on the shins and ankles for 6 months. Skin biopsy confirmed the diagnosis of EED. Treatment with dapsone resulted in complete resolution of the skin lesions. EED is rarely reported in SLE, and its presentation and treatment is reviewed.
ISSN:0172-8172
1437-160X
DOI:10.1007/s00296-010-1574-3